SEC Form 3
FORM 3 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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1. Name and Address of Reporting Person*
(Street)
| 2. Date of Event Requiring Statement (Month/Day/Year) 12/11/2015 | 3. Issuer Name and Ticker or Trading Symbol DISH Network CORP [ DISH ] | |||||||||||||
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
| 5. If Amendment, Date of Original Filed (Month/Day/Year) | ||||||||||||||
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Class A Common Stock | 91(1) | D | |
Class A Common Stock | 942 | I | I(2) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Employee Stock Option (Right to Buy) | (3) | 03/31/2021 | Class A Common Stock | 3,000 | 21.59 | D | |
Restricted Stock Units | (4) | 01/01/2023 | Class A Common Stock | 6,000 | (5) | D | |
Employee Stock Option (Right to Buy) | (4) | 01/01/2023 | Class A Common Stock | 12,000 | 36.4 | D | |
Employee Stock Option (Right to Buy) | (6) | 04/01/2024 | Class A Common Stock | 25,000 | 63.9 | D | |
Restricted Stock Units | (4) | 01/01/2023 | Class A Common Stock | 6,000 | (5) | D | |
Employee Stock Option (Right to Buy) | (4) | 01/01/2023 | Class A Common Stock | 15,000 | 63.9 | D |
Explanation of Responses: |
1. Includes shares acquired under the Company's Employee Stock Purchase Plan. |
2. By 401(k). |
3. The shares underlying the option vest at the rate of 20% per year, commencing on March 31, 2012. |
4. The grant is subject to achievement of certain performance criteria prior to September 30, 2022 and will vest based on achievement of such criteria. The performance criteria are not tied to the market price of the Issuer's securities. |
5. Each unit converts upon vesting into one share of stock, which will be issued to the reporting person immediately upon vesting. |
6. The shares underlying the option vest at the rate of 20% per year, commencing on April 1, 2015. |
Remarks: |
/s/ John W. Swieringa, by Brandon Ehrhart his Attorney in Fact | 12/21/2015 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |